Organization Active NPI

Your Home Care Services, LLC

  • In Home Supportive Care Agency
  • Brooklyn Center, MN
National Provider Identifier
1235697459
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YOUR HOME CARE SERVICES, LLC
Practice address
1306 67TH Ave N Apt 306
Brooklyn Center, MN 55430-1572
Phone
(651) 335-4778
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kiara Clark
Title
President, Owner
Phone
(651) 335-4778

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Delivered Meals 332U00000X
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

1306 67TH Ave N Apt 306
Brooklyn Center, MN 55430-1572

Mailing address

1306 67TH Ave N Apt 306
Brooklyn Center, MN 55430-1572
Phone (651) 335-4778

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1235697459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 67TH AVE N APT 306",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301572",
            "telephone_number": "651-335-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 67TH AVE N APT 306",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301572",
            "telephone_number": "651-335-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KIARA",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "651-335-4778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.